拉玛泽减痛分娩法在产妇自然分娩过程中的应用效果分析

Analysis of the application effect of Lamaze pain relieving delivery method in the course of natural labor

目的探讨分析拉玛泽减痛分娩法在产妇自然分娩过程中的临床应用效果。方法选取本院2013年1月至2015年12月收治的360例产妇为研究对象,将其随机分为观察组(180例)和对照组(180例)。对照组产妇均为自然分娩,观察组产妇经拉玛泽减痛分娩指导后自然分娩,对比分析两组产妇及其家属对护理的总满意度、产妇各产程所需时间、产后乳汁分泌情况、产后心理状态、自然分娩率、新生儿窒息率、产后出血率以及产妇产后疼痛情况。结果观察组产妇及其家属对护理的总满意度(97.22%)显著高于对照组(70.56%)(P<0.05)。观察组产妇总产程所需时间[(337.10±1.10)分钟]显著短于对照组[(506.08±1.10)分钟],其中,第一和第二产程所需时间[(301.28±1.10)分钟,(27.10±1.10)分钟]均显著短于对照组[(446.28±1.01)分钟,(54.40±1.03)分钟](P<0.05)。观察组产妇产后24、48、72小时乳汁分泌充足比率(8.33%,55.56%,95.56%)均显著高于对照组(1.67%,25.00%,42.22%)(P<0.05);观察组产妇焦虑自评量表评分和抑郁自评量表评分[(23.89±3.70)分,(28.01±2.43)分]均显著低于对照组[(39.77±3.68)分,(36.57±2.45)分](P<0.05)。观察组产妇自然分娩率(95.56%)显著高于对照组(73.33%)(P<0.05),新生儿窒息率和产妇产后出血率(1.11%,0.00%)均显著低于对照组(6.11%,3.33%)(P<0.05),产后疼痛例数(12例)显著少于对照组(177例)(P<0.05)。结论拉玛泽减痛分娩法能够有效缩短产妇自然分娩的时间,减轻分娩过程中的疼痛,缓解产妇心理压力,提高产妇及其家属的满意度。

Objective To investigate the clinical application effect of Lamaze pain relieving delivery method in natural labor. Method 360 parturient in our hospital from January 2013 to December 2015 were randomly divided into observation group（180 cases） and control group（180 cases）. Control group parturients were natural labor, observation group parturients were natural labor under the guidance of Lamaze pain relieving delivery method. Nursing satisfaction, time of different stage of labor, postpartum lactation, postpartum psychology, natural labor rate, asphyxia neonatorum rate, postpartum hemorrhage rate, postpartum pain were compared between the two groups. Result Total satisfaction with nursing of parturients and their family members in observation group（97.22%） were significantly higher than control group（70.56%）（P〈0.05）. Time of total stage of labor in observation group [（337.10±1.10） min] was significantly shorter than control group [（506.08±1.10） min]（P〈0.05）. Among that, time of first and second stage of labor in observation group [（301.28±1.10） min,（27.10±1.10） min] were significantly shorter than control group [（446.28±1.01） min,（54.40±1.03） min]（P〈0.05）. Postpartum 24, 48, 72 hours, lactation rate of observation group（8.33%, 55.56%, 95.56%） were significantly better than control group（1.67%, 25.00%, 42.22%）（P〈0.05）. The self-rating anxiety scale and self-rating depression scale [（23.89±3.70） points,（28.01±2.43） points] of observation group were significantly lower than those of control group [（39.77±3.68） points,（36.57±2.45） points]（P〈0.05）. The natural labor rate of observation group（95.56%） was significantly higher than control group（73.33%）（P〈0.05）. The asphyxia neonatorum rate and postpartum hemorrhage rate（1.11%, 0.00%） in observation group were significantly lower than control group（6.11%, 3.33%）（P〈0.05）. Postpartum pain of observation group parturient（12 cases） was significantly less than control group（177 cases）（P〈0.05）. Conclusion Lamaze pain relieving delivery method can effectively shorten the time of natural labor, reduce the pain during natural labor, ease the psychological pressure of parturient, improve the satisfaction of parturient and their dependents.